Piscataway, Nj, Usa

ABUBAKER KALDI

PISCATAWAY, NJ, USA

/ 515-309-2757

OBJECTIVE: To work as anaccomplished Business Systems Analyst Manager/Servant-leader capable of delivering high quality/large-scale software and Web development projects on time and on budget by effectively collaborating, facilitating, leading and coaching multiple teams.

Professional Responsibilities:

11 years of experience working as a Business/Systems/Architecture Analyst within the Healthcare-Information Technology industry.
5 years of experience facilitating and leading JAD sessions, Change control calls and Defect Triages as a Lead Production Support Systems Analyst.
Worked closely with the Project Managers, Scrum Masters, Business Analysts, Systems Analyst Lead, QA lead and the Technical Lead in order to prioritizing the code fixes for the issues within the application as part of the change control process by creating a Service request Tool (SRT) report.
Worked closely with Business Subject Matter Experts (SMEs)/Product Owners as part of Requirement Gathering and creating Technical Use case Documents and Prototypes using MS-Visio and MS-word.
Developed artifacts for training the help desk in addition to working closely with them as part of the production support process providing Tier 2 support as a systems Analyst utilizing MS Excel, Visio (UML).
Worked closely with the Project Managers/Scrum Masters to Estimate, Size and Split the User Stories.
Worked with the QAsto create Test Scenarios, Test scripts and perform regression testing.
Worked withMicrosoft SQL server/queries in order to identify the root cause of the defects.
Experienced with Agile Methodology (Rally agile software) and developing applications in a J2EE and .Net environment.
Effective Verbal and Written communication skills.

Work Experience:

Horizon Blue Cross Blue Shield of New Jersey, Newark, NJ (May 2015 – Current)

Business Systems Analyst V

Project 1: Marketing and Business Unit - Level Funding

The purpose of this project was to introduce Level Funding as a type of healthcare funding arrangement between the insurance carrier and the Employer groups. This funding arrangement type introduced annual reconciliation of the claim amounts paid by the groupmore than the actual incurred claims. This was a Blue List project which are high visibility and highly impacting projects within the Organization.

High Level Responsibilities:

Managed and lead a team of three Business Systems Analyst by initiating the Project Kick off meeting working with the project manager.
Lead the requirement elicitation sessions facilitated by secondary business systems analyst.
Lead the team to get Pricing Approximation Estimates to secure funding for the project.
Worked with the business stakeholder to finalize the scope of the project.
Worked with Division Information Leaders (Senior Directors) to identify the process improvement opportunities during the entire project life cycle.
Worked on the end to end flows defining the current business process and future business process using IBM – Blueworkslive application.
Lead the Business Analyst team to complete Business Requirement Document (BRD).
Lead the Business Analyst team to create a Requirements Management Plan (RMP) and get a signoff from project owner as well as the impacted areas stakeholder.
Lead the discussions with subject matter experts (SME) from each of the impacted areas.
Lead the discussions with testing teams including SQA and UAT testing teams.
Lead the discussions with the third-party vendors to align with the new funding type including NASCO, LabCorp, Value Options & Care Radius (Utilization Management services), Disease Management and Nurse Management.
Lead the discussions with the release management teams when needed in relation to Go-Live dates and aligning with the enterprise release dates.
Managed the Project deliverables in each stage of the SDLC within IBM – Clearquest.

Project 2: GoHealth Healthcare Marketplace Integration

The purpose of this project was to create a seamless customer experience for Individual market customers to subscribe on the GoHealth Marketplace via Horizon Sales Systems. This solution allowed internal sales representatives, GoHealth Sales representatives, and Prospective subscribers to purchase their health insurance through Horizon Sales portal leveraging the Go Health Marketplace capabilities.

High Level Responsibilities:

Managed the team of three Business System Analysts team to get Pricing Approximation Estimates to secure funding for the project.
Worked with the business stakeholder to finalize the scope of the project.
Worked on the end to end flows defining the current business process and future business process using IBM – Blueworkslive application.
Worked on Use case diagrams using MS-Visio depicting interaction between Sales, Brokers, Consumer, and the Horizon Marketplace.
Lead the Business Analyst team to complete Business Requirement Document (BRD)
Lead the Business Analyst team to create a Requirements Management Plan (RMP) and get a signoff from project owner as well as the impacted areas stakeholder.
Lead the discussions with subject matter experts (SME) from each of the impacted areas.
Lead the discussions with testing teams including SQA and UAT testing teams.
Lead the discussions with the third-party vendor i.e., GoHealth to integrate with Horizon Systems using Web APIs (Restful APIs).
Lead the discussions with the release management teams when needed in relation to Go-Live dates and aligning with the enterprise release dates.

Project 3: OMNIA – Product Implementation

As part of the annual product changes offered by Horizon in various market segments there are impacts to multiple areas (both IT and business) that need to be carefully vetted out and informed. There are changes mandated by both federal and state that need to be incorporated with respect to benefit offerings through the state. These changes compel all the impacted area to make changes to accommodate the government mandates as well as actuarial recommendations.

High Level Responsibilities:

Managed and lead a team of three Business Systems Analyst by initiating the Project Kick off meeting working with the project manager.
Lead the requirement elicitation sessions facilitated by secondary business systems analyst.
Lead the team to get Pricing Approximation Estimates to secure funding for the project.
Worked with the business stakeholder to finalize the scope of the project.
Worked with Division Information Leaders (Senior Directors) to identify the process improvement opportunities during the entire project life cycle.
Worked on the end to end flows defining the current business process and future business process using IBM – Blueworkslive application.
Lead the Business Analyst team to complete Business Requirement Document (BRD).
Lead the Business Analyst team to create a Requirements Management Plan (RMP) and get a signoff from project owner as well as the impacted areas stakeholder.
Lead the discussions with subject matter experts (SME) from each of the impacted areas.
Lead the discussions with testing teams including SQA and UAT testing teams.
Lead the discussions with the third-party vendors to align with the new funding type including NASCO, LabCorp, Value Options & Care Radius (Utilization Management services), Disease Management and Nurse Management.
Lead the discussions with the release management teams when needed in relation to Go-Live dates and aligning with the enterprise release dates.
Managed the Project deliverables in each stage of the SDLC within IBM – Clearquest.

Project 4: On-Exchange Consumer Dental Product Implementation

Until 2016 all the Horizon Dental Products were available to customers either via Horizon Sales Portal or off exchange via GoHealth Marketplace (CMS). As part of this implementation the Dental products are also available on Healthcare.gov for consumer market. The anticipated enrollment was around 50K on exchange subscribers giving Horizon larger market share of the consumer Dental product segment.

High level Responsibilities:

Managed the team of three Business System Analysts to get Pricing Approximation Estimates to secure funding for the project.
Worked with the business stakeholder to finalize the scope of the project.
Lead the Business Analyst team to complete Business Requirement Document (BRD)
Lead the Business Analyst team to create a Requirements Management Plan (RMP) and get a signoff from project owner as well as the impacted areas stakeholder.
Lead the discussions with subject matter experts (SME) from each of the impacted areas.
Lead the discussions with testing teams including SQA and UAT testing teams.
Lead the discussions with the third-party vendor with regards to bill payments i.e., Wells Fargo Bank for processing payments made by On Exchange enrollees.
Lead the discussions with the release management teams when needed in relation to Go-Live dates and aligning with the enterprise release dates

Project 5: Rating Engine Replacement Project

The purpose of this project is to replace the existing Rating engine used by Underwriting and Actuarial where currently a lot of manual intervention is required. This project is carried on with a two-phased approach, where the phase 1 is about consolidating the Rating-Pricing data into a centralized data store (CDS) and phase 2 will be to connect the CDS with a new rating engine to generate the rates with minimal manual intervention.

High level Responsibilities:

Managed the team of five Business System Analysts to work on multiple tracks to accomplish the data consolidation as well as aligning the data with future rating engine needs.
Worked with the business stakeholder to finalize the scope of the project.
Create a Requirements Management Plan (RMP) for the entire project life cycle and got a signoff from project owner as well as the impacted areas stakeholder.
Lead the discussions with subject matter experts (SME), Data Architects and Solution Architects by facilitating Data Discovery sessions based on a Questionnaire
Lead the discussions with SMEs to get the current & future state processes by creating Blueworkslive Business Process Flow Maps
Lead the Business Analyst team to complete Business Requirement Document (BRD) based on a three-step approach i.e., Collecting the Raw Data, Processing or Cleaning the Data and Presenting the Data.

Optum (UnitedHealth Group), Basking Ridge, NJ (April 2014 – May2015)

Project 1: Private Exchange – Digital Health Network

Senior IT Systems Analyst Consultant (Contractor – DISYS)

Scrum Master

The purpose of this project is to create a private exchange portal which would support the healthcare market place for employers of different sizes. The employers can setup the coverage and benefits they would like to offer to their employees so that they can go this portal and make a coverage selection from a set of health insurance carriers. This is based on the RESTful/cloud-based architecture.

High level Responsibilities:

Working closely with the Product Owners and Solution Architects to understand the requirements (BRDs/PRDs).
Working with the current application and current functionalities in order to understand the current features of the system
Identify the Gaps between the current application and the requirements.
Reviewing the results of the gap analysis with Solution Architect, ProductOwner, Developers and the QAs.
Creating User stories and Tasks with proper sizing and estimation.
Worked as a Scrum Master in absence/transition of the team’s scrum master.
Conducted the daily standups, identified impediments and send out the daily status report to the high management.
Reviewed the Burn Charts and Velocity of the scrum team with the scrum master.
Participate in the scrum of scrum calls.
Participate in the Product Backlog grooming ceremonies.
Participate in the Team Retrospective in order to identify things which went well and how things can be improved based on various parameters.
Worked with the Project Managers and Program Leads in order to remove the impediments.
Facilitating the JAD sessions to gather the requirements.
Working closely with the scrum master in order to identify the user stories and create them with Rally.
Working closely with the QAs to review the Test Cases and Test Plans based on the technical design documents.
Working closely with the QAs to resolve the issues faced during the end to end testing.
Working closely with the developers to develop RESTful APIs (web services).
Working closely with the Enterprise Logical Data Modeling team to create enterprise level logical model (canonical modeling).
Created WADLs and XSDs and worked with the production support team as well the Test Harness team to test and deploy high quality web services.

SDLC type: Agile Methodology.

Software and Tools: Systinet (API Repository), XML Spy, SOAPUI, Tortoise SVN, SharePoint, MS – Excel, Visio, Word & Rally.

Cigna Healthcare, Bloomfield, Connecticut, USA (December 17th 2007 – April 2014)

Worked on multiple projects within Cigna Healthcare with similar responsibilities as mentioned above from December 2007 – Current as a Systems Analysis Senior Specialist.

Project 1: CIGNA Select Initiative (iQuote - Renewal)

Systems Analysis Senior Specialist

Lead Production Support Systems Analyst

Change Control Manager

Business Analyst

The purpose of this project is to integrate the renewal capability of the current ORS/ORS+ application used by the Great West users into iQuote. This was the second stage after integrating the presale functionality.

Integrating the renewal functionality is a very complex initiative where the existing iQuote application has to directly communication with the pricing database to get the current rates, claims, demographics etc.

I have worked with a team of six Systems Analysts.

High level Responsibilities:

Worked closely with Business Subject Matter Experts (SMEs) as part of Requirement Gathering stage and creating Technical Use case Documents and Graphical User Interfaces (GUIs)
Worked closely with the Project Manager and different matrix partners (Business Users, Pricing team, Sales team) in order to prioritize the change control items.
Facilitated Designed and executed the SQL queries on the DB2 database to identify the data issues related to the renewal data refresh in to the application.
Worked with the DB2 (Pricing database) team in order to correct the data issues for a successful rates output in the application.
Worked as a Production Support Systems Analyst by researching/resolving the issue, creating service requests for future changes in the application with the upcoming releases.
Provided Short-term and Long-term workarounds for the issues/defects until they are fixed in the application.
Change control calls in addition to generating the weekly change control log and maintaining the change control log using Service Request (SRT) application.

Project 2: Choiceboard

Systems Analysis Senior Specialist

Lead Production Support Systems Analyst

Change Control Manager

Business Analyst

This is an enhancement to the current iQuote application where the sales users can generate client facing reports with additional premium and benefit relates details. I have worked with a team of six System Analysts.

High level Responsibilities:

Worked closely with Business Subject Matter Experts (SMEs) as part of Requirement Gathering stage and creating Technical Use case Documents and Graphical User Interfaces (GUIs)
Worked with the developers to identify the data elements in addition to defining the user interface requirements.
Worked with the QA team and the business team in the testing phase of the project cycle.
Worked as a Production Support Systems Analyst by researching/resolving the issue, creating service requests for future changes in the application with the upcoming releases.
Provided Short-term and Long-term workarounds for the issues/defects until they are fixed in the application.

Project 3: CSI - CIGNA Select Initiative (iQuote - Presale)

Systems Analysis Senior Specialist

Lead Production Support Systems Analyst

Change Control Manager

Business Analyst

The purpose of this project is to integrate the current processes/methodologies from Great West (GW) into the Cigna applications. This is accomplished in multiple stages. The first stage is to update the current applications with the presale methodologies of the Great West tools so that the same tools can be used for both platforms (CIGNA methodology and GW methodology).

High level Responsibilities:

Worked closely with Business Subject Matter Experts (SMEs) as part of Requirement Gathering stage and creating Technical Use case Documents and Graphical User Interfaces (GUIs)
Worked with the developers to identify the data elements in addition to defining the user interface requirements.
Worked with the QA team and the business team in the testing phase of the project cycle.
Created Test Scenarios and performed system testing.
Worked as a Production Support Systems Analyst by researching/resolving the issue, creating service requests for future changes in the application with the upcoming releases.
Provided Short-term and Long-term workarounds for the issues/defects until they are fixed in the application.

Project 4: Service Request Tool

Systems Analysis Senior Specialist

Business Analyst

This was the first time this tool was used for the iQuote application within the Sales & Underwriting ASG. Currently I use this application extensively to add/update/cancel/close service requests coming from our Business partners, Project Manager, Systems Analysts, QAs and issues which I feel should be discussed in order to prioritize as a group of above mentioned team players.